401k Plan data: ELXSI MEDICAL PLAN plan

ELXSI MEDICAL PLAN 401k Plan overview

Plan Name	ELXSI MEDICAL PLAN
Plan identification number	501

ELXSI MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Other welfare benefit cover

401k Sponsoring company profile

ELXSI has sponsored the creation of one or more 401k plans.

Company Name: ELXSI

Employer identification number (EIN): 942691593

NAIC Classification: 335900

Additional information about ELXSI

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C0907123

More information about ELXSI

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ELXSI MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2018-01-01 LYNEISA DOTSON 2019-09-23
501 2017-01-01 SILVIA CASTRO
501 2017-01-01 SILVIA CASTRO
501 2016-01-01 SILVIA CASTRO
501 2015-01-01 CINDY WILLIAMS
501 2014-01-01 CINDY WILLIAMS
501 2013-01-01 CINDY WILLIAMS CINDY WILLIAMS 2014-07-15
501 2012-01-01 CINDY WILLIAMS CINDY WILLIAMS 2013-07-23
501 2011-01-01 CINDY WILLIAMS CINDY WILLIAMS 2012-08-15
501 2009-01-01 BEVERLY O'SULLIVAN BEVERLY O'SULLIVAN 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2018-01-01	LYNEISA DOTSON	2019-09-23
501	2017-01-01	SILVIA CASTRO
501	2017-01-01	SILVIA CASTRO
501	2016-01-01	SILVIA CASTRO
501	2015-01-01	CINDY WILLIAMS
501	2014-01-01	CINDY WILLIAMS
501	2013-01-01	CINDY WILLIAMS		CINDY WILLIAMS	2014-07-15
501	2012-01-01	CINDY WILLIAMS		CINDY WILLIAMS	2013-07-23
501	2011-01-01	CINDY WILLIAMS		CINDY WILLIAMS	2012-08-15
501	2009-01-01	BEVERLY O'SULLIVAN		BEVERLY O'SULLIVAN	2010-10-14

Plan Statistics for ELXSI MEDICAL PLAN

401k plan membership statisitcs for ELXSI MEDICAL PLAN

Measure Date Value
2018: ELXSI MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 220
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 253
Number of retired or separated participants receiving benefits 2018-01-01 3
Number of other retired or separated participants entitled to future benefits 2018-01-01 4
Total of all active and inactive participants 2018-01-01 260
2017: ELXSI MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 295
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 266
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 3
Total of all active and inactive participants 2017-01-01 270
2016: ELXSI MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 295
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 238
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 238
2015: ELXSI MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 231
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 228
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 228
2014: ELXSI MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 194
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 198
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 200
2013: ELXSI MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 181
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 179
Total of all active and inactive participants 2013-01-01 179
2012: ELXSI MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 181
Total of all active and inactive participants 2012-01-01 181
2011: ELXSI MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 159
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 167
Total of all active and inactive participants 2011-01-01 167
2009: ELXSI MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 525
Number of retired or separated participants receiving benefits 2009-01-01 548
Total of all active and inactive participants 2009-01-01 548

Measure	Date	Value
2018: ELXSI MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	220
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	253
Number of retired or separated participants receiving benefits	2018-01-01	3
Number of other retired or separated participants entitled to future benefits	2018-01-01	4
Total of all active and inactive participants	2018-01-01	260
2017: ELXSI MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	295
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	266
Number of retired or separated participants receiving benefits	2017-01-01	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	3
Total of all active and inactive participants	2017-01-01	270
2016: ELXSI MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	295
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	238
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	238
2015: ELXSI MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	231
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	228
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	228
2014: ELXSI MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	194
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	198
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	200
2013: ELXSI MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	181
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	179
Total of all active and inactive participants	2013-01-01	179
2012: ELXSI MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	181
Total of all active and inactive participants	2012-01-01	181
2011: ELXSI MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	159
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	167
Total of all active and inactive participants	2011-01-01	167
2009: ELXSI MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	525
Number of retired or separated participants receiving benefits	2009-01-01	548
Total of all active and inactive participants	2009-01-01	548

Form 5500 Responses for ELXSI MEDICAL PLAN

2018: ELXSI MEDICAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Mulitple employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: ELXSI MEDICAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Mulitple employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: ELXSI MEDICAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Mulitple employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: ELXSI MEDICAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Mulitple employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: ELXSI MEDICAL PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: ELXSI MEDICAL PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: ELXSI MEDICAL PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: ELXSI MEDICAL PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: ELXSI MEDICAL PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )

Policy contract number

760782

Policy instance

Insurance contract or identification number	760782
Number of Individuals Covered	270
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $205,006
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $205,006
Insurance broker organization code?	3
Insurance broker name	ROBLIN INSURANCE AGENCY

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	ELXSI
Employer identification number (EIN):	942691593
NAIC Classification:	335900

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C0907123